Graphical tool for managing a longitudinal patient episode

Abstract

Systems and methods are disclosed for graphical-based management and documentation of longitudinal care episodes. As one example, a system to manage a longitudinal care episode for a patient can include a patient data aggregator, executable by a processor, to provide context data for the patient, at least a portion of the context data including patient data associated with multiple phases of the longitudinal care episode. A tool manager can translate user interactions with an associated graphical user interface (GUI) into corresponding discrete concepts. The corresponding discrete concepts can be stored in memory as part of longitudinal episode data for the patient, the longitudinal episode data being generated based on the context data and in response to user interactions with the GUI to facilitate documentation and management of the longitudinal care episode.

What is claimed is: 
     
         1 . A system to manage a longitudinal care episode for a patient, comprising:
 a patient data aggregator, executable by a processor, to provide context data for the patient, at least a portion of the context data including patient data associated with multiple phases of the longitudinal care episode;   a tool manager, executable by the processor, to translate user interactions with an associated graphical user interface (GUI) into corresponding discrete concepts, the corresponding discrete concepts being stored in memory as part of longitudinal episode data for the patient, the longitudinal episode data being generated based on the context data and in response to the user interactions with the GUI to facilitate documentation and management of the longitudinal care episode.   
     
     
         2 . The system of  claim 1 , wherein the tool manager further comprises a concept engine, executable by the processor, to link programmatically the corresponding discrete concepts together in an ordered construct representing the longitudinal episode data throughout each of the multiple phases the longitudinal care episode. 
     
     
         3 . The system of  claim 1 , wherein the longitudinal episode data comprises a plurality of data elements, data elements being linked together for each respective phase of the multiple phases of the longitudinal care episode. 
     
     
         4 . The system of  claim 3 , wherein the plurality of data elements include a set of active problem list data elements for the patient. 
     
     
         5 . The system of  claim 3 , wherein the plurality of data elements further comprise predetermined coded data elements, each of the coded data elements being programmed, according to a prescribed code standard, to represent a respective aspect of the longitudinal care episode for the patient. 
     
     
         6 . The system of  claim 5 , further comprising a deviation detector, executable by the processor, to detect deviations and enforce consistency of the longitudinal episode data between successive phases of the multiple phases of the longitudinal care episode based on comparison of corresponding coded data elements thereof in the successive phases. 
     
     
         7 . The system of  claim 6 , wherein the deviation detector compares a predetermined most significant subset of digits in a given corresponding coded data element in the successive phases. 
     
     
         8 . The system of  claim 6 , further comprising a request generator, executable by the processor, to issue a request via the GUI, the request generator being triggered to issue the request in response to the deviation detector determining a discrepancy between the longitudinal episode data in the successive phases, a response to the request being stored as the longitudinal episode data in a latter one of the successive phases to remove the discrepancy between the longitudinal episode data in the successive phases. 
     
     
         9 . The system of  claim 5 , further comprising a health record interface to access a health record system, the data aggregator employing the health record interface to obtain at least a portion of the coded data elements from the health record system, which are employed to generate the longitudinal episode data, the tool manager employing the health record interface to provide selected data elements from the longitudinal episode data to the health record system for documenting aspects for each of the multiple phases of the longitudinal care episode. 
     
     
         10 . The system of  claim 1 , further comprising a prediction engine, executable by the processor, to compute a prediction output for at least one phase of the multiple phases, the prediction output being computed for each at least one phase based on at least one predictive model that is selected and the longitudinal episode data for each respective phase, the prediction output being provided to an associated health record system for documenting the prediction output and associated user interactions therewith in the longitudinal care episode of the patient. 
     
     
         11 . The system of  claim 10 , wherein the data elements comprise predetermined coded data elements, each of the coded data elements being programmed, according to a prescribed code standard, to represent a respective aspect of the longitudinal care episode for the patient,
 the prediction engine further comprising:
 a model selector to select and configure the at least one predictive model based on the coded data elements stored for the at least one phase; and 
 an evaluator to evaluate the prediction output and assign an accuracy level to facilitate analysis of the prediction output. 
   
     
     
         12 . The system of  claim 11 , further comprising a risk analyzer, executable by the processor, to generate recommended action data that is stored in memory based on the analysis of the prediction output and its associated confidence value, an interactive representation of the recommended action data being provided to a user via the GUI. 
     
     
         13 . The system of  claim 12 , further comprising a health record interface to access a health record system, the data aggregator employing the health record interface to obtain at least a portion of the coded data elements from the health record system, which are employed to generate the context data, the tool manager employing the health record interface to provide selected data elements from the longitudinal episode data to the health record system for documenting at least one of the recommended action data or interactions with the interactive representation thereof for the longitudinal care episode. 
     
     
         14 . The system of  claim 10 , wherein the at least one phase includes a pre-procedure phase of the multiple phases of the longitudinal care episode, the tool manager further comprising a consent generator to generate an interactive consent document based on the longitudinal episode data for the pre-procedure phase, and at least one prediction output computed for the pre-procedure phase, and a patient GUI to interact with the interactive consent document such that data corresponding to patient interactions with the patient GUI are stored in the longitudinal episode data for the pre-procedure phase. 
     
     
         15 . The system of  claim 14 , wherein the longitudinal episode data for the pre-procedure phase includes a procedure plan that is generated, in response to user interactions with the GUI during the pre-procedure phase, by translating the user interactions with the GUI into the a set of the corresponding discrete concepts that define the procedure plan,
 another phase of the multiple phases comprising an intra-procedure phase that includes intra-procedure longitudinal data derived based on the procedure plan from the pre-procedure phase.   
     
     
         16 . The system of  claim 15 , wherein the intra-procedure longitudinal data comprises data elements, data elements of the intra-procedure phase comprising coded data elements, each of the coded elements being programmed, according to a prescribed code standard, to represent a respective aspect of the longitudinal care episode for the patients, the tool manager being programmed to detect a discrepancy between a coded element in the longitudinal episode data of the intra-procedure phase relative to a corresponding coded data element in the procedure plan from the pre-procedure phase, an indication of the detected discrepancy being stored as discrepancy data in the intra-procedure longitudinal data. 
     
     
         17 . The system of  claim 16 , wherein the tool manager is further programmed to generate an interactive request based on the discrepancy data via the GUI, a response to the interactive request being stored in the intra-procedure longitudinal data as response data for documenting the detected discrepancy for the intra-procedure phase. 
     
     
         18 . The system of  claim 17 , further comprising a health record interface to access a health record system, the tool manager employing the health record interface to provide the response data to the health record system for documenting the detected discrepancy in a health record for the patient. 
     
     
         19 . The system of  claim 18 , wherein the data aggregator is further configured to obtain external data from at least one external source, other than the health record system, the external data providing information about intra-procedure aspects of the longitudinal care episode, the information about the intra-procedure aspects of the longitudinal care episode being stored as supplemental data in the longitudinal episode data, the tool manager to provide the supplemental data to the health record system for documenting the information about the intra-procedure aspects of the longitudinal care episode into the health record for the patient. 
     
     
         20 . A non-transitory computer-readable medium that includes instructions which, when executed by a processor, cause the processor to:
 aggregate context data for a patient, at least a portion of the context data including patient data associated with a longitudinal care episode;   provide a graphical user interface (GUI) responsive to user interactions;   translate the user interactions with the GUI into corresponding discrete concepts;   generate and store longitudinal episode data based on the context data and in response to the user interactions with the GUI;   store the corresponding discrete concepts in memory as part of the longitudinal episode data for the patient, whereby documentation and management of multiple phases of the longitudinal care episode is facilitated.   
     
     
         21 . The medium of  claim 20 , wherein the instructions are further to:
 access patient data in an electronic health record (EHR) system; and   selectively store the longitudinal episode data in the EHR system to document aspects for each of the multiple phases of the longitudinal care episode.   
     
     
         22 . The medium of  claim 20 , wherein the instructions are further to:
 compute a prediction output for at least one phase of the multiple phases based on the longitudinal episode data for the at least one phase; and   store the prediction output and user interactions related to the prediction output as part of the longitudinal episode data for the at least one phase.   
     
     
         23 . The medium of  claim 22 , wherein the instructions are further to generate a recommended action via the GUI based on the prediction output and a computed accuracy of the prediction output. 
     
     
         24 . The medium of  claim 22 , wherein the instructions are further to:
 generate an interactive consent document based on the longitudinal episode data for a pre-procedure phase of the multiple phases, and at least one prediction output computed for the pre-procedure phase;   store patient interaction data in the longitudinal episode data for the pre-procedure phase based on user interactions with the interactive consent document.   
     
     
         25 . The medium of  claim 20 , wherein the longitudinal episode data comprises coded data elements, each of the coded elements being programmed, according to a prescribed code standard, to represent a respective aspect of the longitudinal care episode for the patient, the instructions are further to detect deviations and enforce consistency of the longitudinal episode data between successive phases of the multiple phases of the longitudinal care episode based on a comparison of corresponding coded data elements in the successive phases.